Prosthetic knee and method of inserting

ABSTRACT

The present invention relates to a prosthetic knee. In one embodiment of the present invention, the knee has a femoral body and meniscal body. The femoral body has a femoral alignment member, and the meniscal body has a femoral side. Extending from the femoral side are at least two guiding protrusions that extend along the longitudinal axis of the meniscal body and define at least two sides of an alignment groove. The alignment groove slippingly receives the femoral alignment member. The femoral alignment is able to move within the alignment groove and slip over the alignment groove when a force of sufficient magnitude is applied to the prosthetic and revert into the alignment groove. In another embodiment of the present invention, the groove and the alignment components are reversed on the respective femoral and meniscal bodies.

FIELD OF THE INVENTION

The present invention relates to a prosthetic device and moreparticularly to a prosthetic knee.

BACKGROUND OF THE INVENTION

The human knee is a complex arrangement of ligaments, cartilages, andbone surfaces. The human knee is a versatile component that whenproperly operating can withstand various loads and forces being appliedto it. When such various forces are applied, the knee adapts and movesin relation to those forces.

However, because the knee is subjected to great loads and tremendoususe, the knee is subject to a host of different ailments, all of whichresult in discomfort and pain. Osteoarthritis, for example, commonlyoccurs in older people, and is typically found in the weight bearingjoints of a human body, such as the knee and the hip. Whenosteoarthritis effects a knee, the articular cartilage of the kneedegenerates, and the femur and tibia typically begin to wear against oneanother. This results in pain and stiffness in the joint, and makesflexion and extension of the knee difficult. People suffering thiscondition are often unable to partake in even the simplest physicalactivities.

Also, injuries to the articular cartilages of the knee often may arisefrom any of a plurality of sporting activities, like jogging and skiing,that exert substantial forces on the knee. Additionally, accidents andfalls apply substantial forces to a knee. Such substantial forces mayresult in the damage or destruction of the articular cartilages in theknee.

Several prosthetic devices are presently available to assist individualswith knee ailments. These devices, however, have shortcomings, such aswhen loads and forces are applied to the components of the prostheticsome of the components slip away from each other. When such slippageoccurs, the conventional prosthetic knee has difficulty joining thecomponents together. For example, in one embodiment of a prosthetic kneethe components lock together by a tongue and grove system. In anotherembodiment of a prosthetic knee, the components contact each other oncurved and/or flat surfaces. When these components disengage from eachother, they are difficult to mate together. The present invention allowssome slippage and simultaneously corrects the slippage.

SUMMARY OF THE INVENTION

The present invention relates to a prosthetic knee. In one embodiment ofthe present invention, the knee has a femoral body and a meniscal body.The femoral body has a femoral alignment member, and the meniscal bodyhas a femoral side. Extending from the femoral side are at least twoguiding protrusions that extend along the longitudinal axis of themeniscal body and define at least two sides of an alignment groove. Thealignment groove slippingly receives the femoral alignment member. Thefemoral alignment is able to move within the alignment groove and slipover the alignment groove when a force of sufficient magnitude isapplied to the prosthetic and revert into the alignment groove. Inanother embodiment of the present invention, the groove and thealignment components are reversed on the respective femoral and meniscalbodies.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 shows a front elevational view of the femoral body of theprosthetic knee.

FIG. 2 shows a front elevational view of the meniscal body of theprosthetic knee.

FIG. 3 shows a front elevational view of the tibial body of theprosthetic knee.

FIG. 4 shows a side elevational view of the femoral body of theprosthetic knee.

FIG. 5 shows a side elevational view of the meniscal body of theprosthetic knee.

FIG. 6 shows a side elevational view of the tibial body of theprosthetic knee.

FIG. 7 shows a front elevational view of an alternate embodiment of thefemoral body of the prosthetic knee.

FIG. 8 shows a front elevational view of an alternative embodiment ofthe meniscal body of the prosthetic knee.

FIG. 9 shows a front elevational view of an alternative embodiment ofthe tibial body of the prosthetic knee.

FIG. 10 shows a side elevational view of an alternative embodiment ofthe femoral body of the prosthetic knee.

FIG. 11 shows a side elevational view of an alternative embodiment ofthe meniscal body of the prosthetic knee.

FIG. 12 shows a side elevational view of an alternative embodiment ofthe tibial body of the prosthetic knee.

DETAILED DESCRIPTION

The present invention relates to a prosthetic half knee 15, which isembodied in FIGS. 1-6. The knee 15 comprises three major components: afemoral body 20, a meniscal body 40, and a tibial body 70. The femoralbody 20 is attached to the femur 16 by at least one femur anchor post 24as shown in FIG. 4. The femur anchor post 24 may be cemented to ordriven into the femur 16 using processes and materials well known tothose skilled in the art. Similarly, as illustrated in FIGS. 3 and 6,the tibial body 70 is attached to the tibia 18 by at least one tibiaanchor post 76. This may be accomplished by cementing or driving theanchor posts 76 to the tibia 18, or by other processes well known tothose skilled in the art. Interposed between the femoral body 20 and thetibial body 70 is the meniscal body 40, illustrated in FIGS. 2 and 5.

The femoral body 20 is constructed in an convex arcuate shape such thatit is in the condylic shape of a natural femur bone. It may be made ofdurable plastic or metal, but in either case, materials with lowcoefficients of friction will prolong the useful life of the prostheticknee, and facilitate walking and other endeavors. The selection of suchmaterials for such purposes are well known to those skilled in the art.Protruding from the femoral body contact surface 26 is the at least onefemur anchor post 24, which anchors the femoral body 20 to the femur 16as described above. In other embodiments of the present invention, thefemoral body 20 may be attached to the femoral bone by making aplurality of holes (not shown) in the contact surface 26 and allowingthe bone of the femur 16 to grow therein.

The femoral body 20 has a convex arcuate surface 22 spanning itslongitudinal axis, this being a load bearing surface supporting loadstransmitted from the femur 16. The femoral body 20 has mergedly risingfrom its convex arcuate surface 22 and spanning a portion thereofdesignated by line segment A—A in FIG. 4, the femoral alignment member28, shown in FIG. 1. The femoral alignment member 28 has a slidingsurface 29. The femoral alignment member 28 is shaped such that the spanof its narrowest width, designated by line segment B—B in FIG. 1, isless than the span of its greatest width, designated by line segment C—Cin FIG. 1. This configuration is further described below.

Turning now to FIGS. 2 and 5, shown therein are front and sideelevational views of the meniscal body 40. The meniscal body has afemoral side 42, a tibial side 50, and guiding protrusions 44. Theguiding protrusions 44 extend from the femoral side 42 of the meniscalbody 40. The guiding protrusions 44 have tapered, rounded, or beveledend portions 45.

Defined between the guiding protrusions 44 is the alignment groove 46,shown in FIGS. 2 and 5. The alignment groove 46 spans the meniscal body40 along the longitudinal X axis direction, as shown in FIG. 2. Themeniscal body 40 is embodied between the guiding protrusions, and isless than the distance between the guiding protrusions 44, designated byline segment E—E in FIG. 2. As shown, the protrusions can haveextensions that secure, with some slippage movement allowed between themeniscal body and the alignment groove. Alternatively, there could be noextensions which also allow the meniscal body and alignment groove tomove within.

The alignment groove 46 may be embodied to span the length of themeniscal body 40, and be further embodied such that the depth 49 of thealignment groove 46 varies along the longitudinal X axis thereof. Insuch an embodiment, as shown in FIG. 4, the depth 49 of the alignmentgroove 46 is, in the preferred embodiment, greater at the center portion54 of the meniscal body 40, than the depth 49 at the ends 52 of themeniscal body 40. In such an embodiment, the alignment groove 46 mayhave a generally concave curvature 47 along the longitudinal X axis ofthe meniscal body 40. The meniscal body 40 itself is embodied to have aconcave shape along its longitudinal X axis, shown in FIG. 5. Themeniscal body 40 may be constructed of durable plastic, metal, or othermaterials well known to those skilled in the art.

FIGS. 3 and 6 show the tibial body 70, which has a support surface 72that supports the meniscal body 40. The tibial body 70 also has asupport surface 74 which rests on the tibia 18. The tibial body 70 isanchored to the tibia 18 by the tibial body anchor posts 76. The tibialbody 70 may be constructed of hard durable plastic, metal, or othermaterials well known to those skilled in the art. The tibial body 70 maybe cemented to the tibia 18 with adhesives and cements known to thoseskilled in the art. The tibial body 70 may also be constructed with aplurality of holes (not shown), such that the tibia 18 bone grows intothe holes and attaches itself to the tibial body 70 in that manner.

The femoral body 20, the meniscal body 40, and the tibial body 70 areconstructed as described above and are inserted into a patient byprocedures well known to those skilled in the art. The femur 16 and thetibia 18 are prepared for receiving the prosthetic 15. This processtypically entails shaping the femur 16 and tibia 18 such that they arealtered, for example flattened in some embodiments or rounded in otherembodiments (not shown), to receive the femur anchor posts 24 and thetibial body anchor posts 76. The femur anchor posts 24 and tibial bodyanchor posts 76 are driven into the femur 16 and tibia 18 respectively.

The meniscal body 40 is slid over the femoral alignment member 28 alongthe sliding surface 29. In this position, the femoral alignment member28 occupies and is received in the alignment groove 46 in the meniscalbody 40. The femoral alignment member 28 is captured in the alignmentgroove 46. Thus, as the prosthetic knee 15 articulates back and forth inthe X axis direction, shown in FIGS. 4-6, the femoral alignment member28 slides back and forth along the alignment groove 46. The lack of anyextensions from the guiding extensions allow the femoral body 20 to slipout of the alignment groove 40 and on to a wall of the guiding extensionin such a way that the femoral body 20 is able to revert into thealignment groove 40 without difficulty, and, hopefully, naturally. Asstated previously, forces are applied to a knee. The present inventionallows the knee to receive forces and loads from various angles. Andwhen the knee receives a force or load other than one at 0° relative tothe femur and/or the tibia, the present invention allows the prostheticknee to accommodate and adapt to those forces and/or loads withouthaving the knee being damaged. This arrangement allows the user maximumpossible flexion and extension capabilities in the knee, withoutproblems of the meniscal body 40 undesirably and permanently slippingand sliding out of the X axis direction of travel without extraordinaryforces being applied thereon.

To achieve the proper tension in the prosthetic knee 15 during flexionand extension thereof, the meniscal body 40 thickness may need to beadjusted. For each differently sized individual, a meniscal body 40 ofdifferent thickness may be selected. Such sizing of prosthetics topatients is well known to those skilled in the art.

Another embodiment of the prosthetic knee 15, illustrated in FIGS. 7-12,comprises three major components: a femoral body 106, a meniscal body120, and a tibial body 140. The femoral body 106 is attached to thefemur 102 by at least one femur anchor post 110, extending from thefemoral body bone contact surface 114, as shown in FIGS. 7 and 10. Thefemur anchor posts 110 may be cemented to or driven into the femur 102using processes and materials well known to those skilled in the art.Similarly, as illustrated in FIGS. 9 and 12, the tibial body 140 isattached to the tibia 104 by at least one tibia anchor post 146. Thismay be accomplished by cementing the tibia anchor posts 146 to the tibia104 or by other processes well known to those skilled in the art.Interposed between the femoral body 106 and the tibial body 140 is themeniscal body 120, as illustrated in FIGS. 7-9.

Referring to FIGS. 7 and 10, the femoral body 106 is shown, having aconvex arcuate surface 108 spanning its longitudinal axis in the Xdirection, this being a load bearing surface. The convex arcuate surface108 has a femoral body alignment cutout 112 extending along a portion ofthe longitudinal axis thereof, illustrated in FIGS. 7 and 10. Thefemoral body alignment cutout 112 is defined by the femoral guides 116.The femoral alignment cutout 112 being shaped such that the distancebetween the distance between the femoral guides 116, indicated by linesegment F—F in FIG. 7, is equivalent to or less than the width of thesliding surface 117 of the femoral body 106, indicated by line segmentG—G.

The depth 127 of the femoral alignment cutout 112, may be embodied tovary along the longitudinal X axis of the femoral body 106, such that atthe ends of the cutout 118, the depth 127, is less than at the centerportion 119, of the femoral body 106, as seen in FIGS. 7 and 10. Thefemoral alignment cutout 112 also may be embodied to have a convexcurvature along its longitudinal X axis.

Referring to FIGS. 8 and 11, the meniscal body 120 has an alignment side122, and extending from the alignment side 122 a meniscal alignmentmember 124. Opposite the alignment side 122 is the tibial side ofmeniscal body 126. The alignment member 124 has bearing surface 128having a first width 134, indicated by line segment H—H in FIG. 8, whichis greater than second width 136, designated line segment I—I in FIG. 8.Bearing surface 128 is in a sliding relationship with sliding, surface117 of the femoral body 106. The thickness of the meniscal body 120 maybe embodied such that the thickness is greater at the end portions 130of the meniscal body, than at the center portion 132, as shown in FIG.11. This gives the meniscal body 120 a concave curvature along thelongitudinal X axis direction, as depicted in FIG. 11.

The tibial body 140 shown in FIGS. 9 and 12, has on one side a supportsurface 142 for supporting the meniscal body 120, and on the other sidea support surface 144 for resting on the tibia 104. The tibial body 140may be constructed of hard durable plastic, metal, or other materialsknown to those skilled in the art. The tibial body 140 may be cementedto the tibia 104 with adhesives and cements known to those skilled inthe art. The tibial body 140 may also be constructed with a plurality ofholes such that the tibia bone 104 grows into the holes and attachesitself to the tibial body 140 in that manner.

The femoral body 106, the meniscal body 120, and the tibial body 140 areconstructed as described above, and are inserted into a patient byprocedures well known to those skilled in the art. The femur 102 and thetibia 104 are prepared for receiving the prosthetic. This processtypically entails shaping the femur 102 and tibia 104 such that they areflattened to receive the femoral body anchor posts 110 and the tibialbody anchor posts 146. Then, the femoral anchor posts and tibial bodyanchor posts 146 are driven into the femur 102 and tibia 104respectively.

The meniscal alignment member 124 of the meniscal body 120 is slid intothe femoral alignment cutout 112, and captured therein by the femoralguides 116. The meniscal body 120 and the femoral body 106 are thus ableto slide relative to one another along the X axis direction, as shown inFIGS. 10-12. Further, since the alignment member 124 occupies thefemoral alignment cutout 112, and is thus limited to motion in the Xaxis direction, the prosthetic knee 100 is stable during flexion andextension thereof.

Additionally, either embodiment of the prosthetic knee described hereinmay be used in conjunction with the medial condyle of the femur 16 a and102 a, or the lateral condyle of the femur 16 b and 102 b, or both. Suchprocedures for implanting a prosthetic knee are well known to thoseskilled in the art.

The present invention can be distributed to medical practitionersthrough a kit. The kit contains the present invention in a sterileenvironment so the medical practitioner can open the kit in theoperating room and use the prosthetic knee. The prosthetic knee, asstated earlier, is inserted into a patient through conventional methodsknown to those skilled in the art.

It will be understood that various changes in the details, materials,steps and arrangements of parts, which have been herein described andillustrated in order to describe the nature of the artificial knee, maybe made by those skilled in the art within the principle and scope ofthe invention as expressed in the appended claims. For example, any of aplurality of differently shaped femoral alignment members 28 (rounded,squared, or beveled), and corresponding alignment grooves 46 (rounded,squared, or beveled) and guiding protrusions 44 are within the ambit ofthe prosthetic knee and appended claims. Additionally, any of aplurality of differently shaped femoral alignment cutouts 112, andcorresponding meniscal alignment members 124 are within the ambit of thepresent prosthetic knee and appended claims.

What is claimed is:
 1. A prosthetic comprising: a femoral body having afemoral alignment member; a meniscal body having a femoral side; atleast two guiding protrusions extending from the femoral side thatextend along the longitudinal axis of the meniscal body and defines atleast two sides of an alignment groove; and the alignment grooveslippingly receives the femoral alignment member so the femoralalignment moves within the alignment groove and is also able to slip onto the alignment groove when a force of sufficient magnitude is appliedto the prosthetic and revert into the alignment groove.
 2. Theprosthetic of claim 1 wherein the femoral body has a convex shape andthe femoral alignment member has a convex shape.
 3. The prosthetic ofclaim 1 wherein the alignment groove has a concave curvature extendingalong the longitudinal axis of the meniscal body.
 4. The prosthetic ofclaim 1 wherein the femoral alignment member spans a portion of thelongitudinal axis of the femoral body.
 5. The prosthetic of claim 1wherein the femoral alignment member mergedly rises from the femoralbody and wherein the span of the femoral alignment member at itsnarrowest width is less than the span of the femoral alignment member atits greatest width.
 6. An prosthetic knee comprising: a femoral bodyhaving a femoral alignment member; a tibial body having a supportsurface; a meniscal body having a femur side having a femur alignmentgroove for accommodating the femoral alignment member, the meniscal bodybeing interposed between the femoral body and the support surface of thetibial body; at least two guiding protrusions extending from the femoralside that extend along the longitudinal axis of the meniscal body anddefines at least two sides of an alignment groove; and the alignmentgroove slippingly receives the femoral alignment member so the femoralalignment moves within the alignment groove and is also able to slip onto the alignment groove when a force of sufficient magnitude is appliedto the prosthetic and revert into the alignment groove.
 7. Theprosthetic of claim 6 wherein the femoral body has a convex shape andthe femoral alignment member has a convex shape.
 8. The prosthetic kneeof claim 6 wherein the femoral alignment member has a sliding surfacefor sliding in the femur alignment groove.
 9. The prosthetic of claim 6wherein the alignment groove has a concave curvature extending along thelongitudinal axis of the meniscal body.
 10. The prosthetic of claim 6wherein the femoral alignment member spans a portion of the longitudinalaxis of the femoral body.
 11. The prosthetic of claim 10 wherein thefemoral alignment member mergedly rises from the femoral body, andwherein the span of the femoral alignment member at its narrowest widthis less than the span of the femoral alignment member at its greatestwidth.
 12. A kit comprising (1) a prosthetic knee having a femoral bodyhaving a femoral alignment member; a meniscal body having a femoralside; at least two guiding protrusions extending from the femoral sidethat extend along the longitudinal axis of the meniscal body and definesat least two sides of an alignment groove; and the alignment grooveslippingly receives the femoral alignment member so the femoralalignment moves within the alignment groove and is also able to slip onto the alignment groove when a force of sufficient magnitude is appliedto the prosthetic and revert into the alignment groove; and (2) a kitthat holds the prosthetic knee in a sterile environment.
 13. A method ofinserting a prosthetic knee into mammal comprising the steps of: placinga femoral body having a femoral alignment member onto a predeterminedportion of a femur; and inserting a meniscal body having a femoral sideover a predetermined portion of a tibia, wherein the meniscal bodyfurther comprises at least two guiding protrusions extending from thefemoral side that extend along the longitudinal axis of the meniscalbody and defines at least two sides of an alignment groove; and whereinthe alignment groove slippingly receives the femoral alignment member sothe femoral alignment moves within the alignment groove and is also ableto slip on to the alignment groove when a force of sufficient magnitudeis applied to the prosthetic and revert into the alignment groove.